NPI 1225156151

William Frederick Kortum, MD

Practitioner General Practice Physician Lafayette, LA

Practice location

Address: 3414 Moss St STE a, Lafayette, LA 70507-6107
Phone: (337) 235-1212

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 027100 (LA)

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Registry record

NPI: 1225156151
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.